Stillwater, Lyle Barry

Stillwater, Lyle Barry is an individual health care provider with primary practice located at 812 West Main St , Visalia CA 93291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stillwater, Lyle Barry can be contacted via phone (559) 932-3888.

Contact Information

Primary practice address
812 West Main St Visalia CA 93291
Phone: (559) 932-3888
Fax: (559) 732-6775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G032114 California

Profile Details

NPI number 1154339182
LBN Legal business name Stillwater, Lyle Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154339182 NPPES
California MEDICAID OOG321441

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